Charter Senior Living Poquoson, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHARTER SENIOR LIVING POQUOSON, LLC

Practice address

531 Wythe Creek Rd
Poquoson, VA 23662-1562

Phone

(757) 236-7334

NPI assigned

Nov 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Friedlin

Title

Business Office Manager

Phone

(757) 868-0335

Specialties & licenses 1

Addresses

Other names 1

• Charter Senior Living Poquoson, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1760199640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621562",
            "telephone_number": "757-236-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621562",
            "telephone_number": "757-236-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER SENIOR LIVING POQUOSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "FRIEDLIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "757-868-0335"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Senior Living Poquoson, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory L Black
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• Assisted Living Facility in Poquoson, VA
• Providers in Poquoson, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.